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General NPI Number Information
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NPI Number | 1750626040
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Entity Type | Organization
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Legal Business Name | A WELL ADJUSTED KOENIG CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 8251 PINE RD SUITE 100
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City | CINCINNATI
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State | OH
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Zip | 45236-2191
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Country | US
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Telephone | 513-241-4230
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Fax | 513-241-4066
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Provider Business Mailing Address
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Address Line | 5743 RUTLEDGE TRL
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City | LIBERTY TWP
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State | OH
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Zip | 45011-1245
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Country | US
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Telephone | 513-519-7021
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Fax | 513-299-0542
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HANCOCK
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Credential |
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Telephone | 513-519-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2177
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License Number State | OH
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